Effect of ocular fixation on positional nystagmus in BPPV patients


Özel H. E., Karakuzu A. T., Temir H., Alpay M., Özdoğan F., Genç S.

International Journal of Audiology, vol.62, no.7, pp.644-649, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 62 Issue: 7
  • Publication Date: 2023
  • Doi Number: 10.1080/14992027.2022.2062579
  • Journal Name: International Journal of Audiology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, ASSIA, BIOSIS, CINAHL, Communication & Mass Media Index, EBSCO Education Source, EMBASE, MEDLINE, Psycinfo
  • Page Numbers: pp.644-649
  • Keywords: Benign paroxysmal positional vertigo, ocular fixation, positional nystagmus, videonystagmography, VERTIGO, SUPPRESSION, DIAGNOSIS
  • Kocaeli University Affiliated: No

Abstract

© 2022 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society.Objective: The quantitative suppression rate of positional nystagmus (PN) by ocular fixation (OF) is unknown. This study aims to analyse the effect of OF on the slow phase velocity (SPV) of PN during diagnostic positional manoeuvres (DPMs) with videonystagmography in patients with benign paroxysmal positional vertigo (BPPV). Design: DPMs were performed on 58 patients with BPPV, 33 (56.9%) of whom were women. OF was initiated when PN was most evident, and recording was continued. The mean SPV of three consecutive nystagmus before (F0) and after (F1) OF initiation was calculated. The rate of suppression of PN by OF was found in percent with the formula (F0–F1) x 100/F0. Study Sample: 58 patients were included in this study. Results: The mean age was 56.1 ± 11.2 (range 27–76). F0 and F1 values were calculated as 5.742 ± 5.589 and 1.948 ± 3.424 degrees/second, respectively (p < 0.001). The rate of suppression of PN by OF was found to be 66.1%. Conclusions: OF significantly suppresses PN during DPMs in BPPV patients. Elimination of OF during DPMs is important for accurate diagnosis.